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  • Intramuscular and Intraderm...
    Edupuganti, Srilatha; C De Rosa, Stephen; Elizaga, Marnie; Lu, Yiwen; Han, Xue; Huang, Yunda; Swann, Edith; Polakowski, Laura; A Kalams, Spyros; Keefer, Michael; Maenza, Janine; C Wise, Megan; Yan, Jian; Morrow, Matthew P; Khan, Amir S; Boyer, Jean D; Humeau, Laurent; White, Scott; Sardesai, Niranjan Y; Bagarazzi, Mark L; Gilbert, Peter B; Kublin, James G; Corey, Lawrence; Weiner, David B; On Behalf Of The Hvtn Study Team; The Niaid-Funded Hiv Vaccine Trials Network

    Vaccines (Basel), 12/2020, Letnik: 8, Številka: 4
    Journal Article

    Several techniques are under investigation to improve the immunogenicity of HIV-1 DNA vaccine candidates. DNA vaccines are advantageous due to their ease of design, expression of multiple antigens, and safety. The HVTN 098 trial assessed the PENNVAX -GP DNA vaccine (encoding HIV , , ) administered with or without plasmid IL-12 at 0-, 1-, 3-, and 6-month timepoints via intradermal (ID) or intramuscular (IM) electroporation (EP) in healthy, adult participants. We report on safety, tolerability, and acceptability. HVTN 098 enrolled 94 participants: 85 received PENNVAX -GP and nine received placebo. Visual analog scale (VAS) pain scores immediately after each vaccination were lower in the ID/EP than in the IM/EP group (medians 4.1-4.6 vs. 6-6.5, < 0.01). IM/EP participants reported greater pain and/or tenderness at the injection site. Most ID/EP participants had skin lesions such as scabs/eschars, scars, and pigmentation changes, which resolved within 6 months in 51% of participants (24/55). Eighty-two percent of IM/EP and 92% of ID/EP participant survey responses showed acceptable levels of discomfort. ID/EP and IM/EP are distinct experiences; however, HIV-1 DNA vaccination by either route was safe, tolerable and acceptable by most study participants.